Victoria L Weiss PSYD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301007240 Issued in MI

Legal business name

VICTORIA L WEISS PSYD PC

Practice address

427 S Stephenson Avenue
Suite 212
Iron Mountain, MI 49801-3458

Phone

(906) 776-9000

Fax

(906) 776-9002

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victoria L Weiss, PSYD LPNPI 1578687398

Title

President

Phone

(906) 776-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria L Weiss, PSY. D., L. P.

  • Clinical Psychologist
  • Iron Mountain, MI
  • NPI 1578687398
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1427222397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498010901",
            "telephone_number": "906-776-9000",
            "fax_number": "906-776-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S STEPHENSON AVENUE",
            "address_2": "SUITE 212",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013458",
            "telephone_number": "906-776-9000",
            "fax_number": "906-776-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA L WEISS PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-776-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Veale, MD
• Cory J Vedin, LMSW
• Sarah Elizabeth Venditti, M.D.
• Veteran Affairs Medical Center
• Mark Alan Victor, D.O.
• Danielle Vietzke
• Douglas Lewis Villa, MD
• Laura L Vivio-Karle, PA-C
• Brielle Wagner
• Robin Wagner

• Clinical Psychologist in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.